Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.64 / $5,412.00 / $12,593.00	Facility		$973.64	$5,412.00	$12,593.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $497.14 / $497.14 / $1,505.29	Facility	54	$497.14	$497.14	$1,505.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.89 / $851.89 / $851.89	Facility		$851.89	$851.89	$851.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $596.32 / $596.32 / $596.32	Facility	54	$596.32	$596.32	$596.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $710.33 / $835.68 / $1,074.92	Professional		$710.33	$835.68	$1,074.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $665.14 / $921.99 / $1,439.01	Facility		$665.14	$921.99	$1,439.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $653.66 / $935.77 / $7,420.00	Facility		$653.66	$935.77	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00